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General NPI Number Information
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NPI Number | 1194218933
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Entity Type | Organization
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Legal Business Name | HEALTHCARE SOLUTION SERVICES LLC
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 555 W GRANADA BLVD STE A7
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City | ORMOND BEACH
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State | FL
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Zip | 32174-9431
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Country | US
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Telephone | 386-492-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 555 W GRANADA BLVD STE A7
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City | ORMOND BEACH
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State | FL
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Zip | 32174-9431
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Country | US
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Telephone | 386-492-2879
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Fax | 386-238-9182
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | TRACY YVETTE COPELAND
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Credential | RN
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Telephone | 386-492-2879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | RN9268347
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License Number State | FL
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